Protocol for the Northern Manhattan Diabetes Community Outreach Project. A randomised trial of a community health worker intervention to improve diabetes care in Hispanic adults

@article{Palmas2012ProtocolFT,
  title={Protocol for the Northern Manhattan Diabetes Community Outreach Project. A randomised trial of a community health worker intervention to improve diabetes care in Hispanic adults},
  author={Walter Palmas and Jeanne A. Teresi and Sally Findley and Miriam Mejia and Milagros Batista and Jian Kong and Stephanie Silver and Jos{\'e} A. Luchsinger and Olveen Carrasquillo},
  journal={BMJ Open},
  year={2012},
  volume={2}
}
Objective Hispanics in the USA are affected by the diabetes epidemic disproportionately, and they consistently have lower access to care, poorer control of the disease and higher risk of complications. This study evaluates whether a community health worker (CHW) intervention may improve clinically relevant markers of diabetes care in adult underserved Hispanics. Methods and analysis The Northern Manhattan Diabetes Community Outreach Project (NOCHOP) is a two-armed randomised controlled trial to… 
View on BMJ
bmjopen.bmj.com
13 Citations
Background Citations
4
Methods Citations
3

13 Citations

Results of the Northern Manhattan Diabetes Community Outreach Project: A Randomized Trial Studying a Community Health Worker Intervention to Improve Diabetes Care in Hispanic Adults

Greater intervention fidelity may achieve better glycemic control, and more accessible treatment models, such as phone-based interventions, may be more efficacious in socioeconomically disadvantaged populations.

Does Diabetes Self-management Education in Conjunction With Primary Care Improve Glycemic Control in Hispanic Patients?

DSME in conjunction with primary care is effective in improving glycemic control in Hispanic adults with T2DM.

Culturally appropriate health education for people in ethnic minority groups with type 2 diabetes mellitus.

Although the interventions provided in these studies were very different from one study to another, most of the studies were based on recognisable theoretical models, and there was a general lack of reporting of adverse events in most studies - the other two primary outcomes for this review.

Discrimination and Depression among Urban Hispanics with Poorly Controlled Diabetes.

Discrimination may pose a barrier to getting health care and may be associated with depression among Hispanics with diabetes and Clinicians treating Caribbean-born Hispanics should be aware that disadvantage and discrimination likely complicate a presentation of diabetes.

Integrated Community-Healthcare Diabetes Interventions to Reduce Disparities

The types of community/health system partnerships that have been implemented over the past several years to improve minority health and reduce disparities among racial/ethnic minorities are summarized and the components that are most commonly integrated are described.

Perspectives on Workforce Development Needs for Community Health Workers (CHWs): Results from a Statewide Survey of CHW Employers

A survey of community health worker (CHW) employers in Texas found that most CHW employers directly employ their CHWs, and CHWs are typically part of a multidisciplinary healthcare team.

Community-Based Participatory Research in Diabetes Prevention Programs

The review found lack of inclusion of the advisory board in data analysis and study result dissemination process, and majority of the studies were found be conducted in North America.

Peers as Facilitators of Medication Adherence Interventions

Overall, the interventions had positive effects and attrition was quite low, and peer-facilitated interventions appear to enhance medication adherence as well as other healthful behaviors, such as exercise.

Community-Based Interventions for Stroke Provided by Nurses and Community Health Workers: A Review of the Literature

  • G. MagwoodM. Nichols Charles Ellis
  • Psychology, Medicine
    The Journal of neuroscience nursing : journal of the American Association of Neuroscience Nurses
  • 2020
Evidence suggests community-based interventions facilitate the necessary support for stroke survivors, caregivers, families, and communities to optimize stroke recovery.

Assessing community health workers’ performance motivation: a mixed-methods approach on India's Accredited Social Health Activists (ASHA) programme

The ASHA programme could motivate and empower local lay women on community health largely, and gender mainstreaming in the community health approach, especially on the demand-side and community participation were the positive externalities of the CHW programme.

References

SHOWING 1-10 OF 53 REFERENCES

A randomized controlled trial of the effects of nurse case manager and community health worker team interventions in urban African-Americans with type 2 diabetes.

Improving Diabetes Care and Health Measures Among Hispanics Using Community Health Workers

Participants in the CHW group achieved greater improvements than did the controls in program measures: health status, emergency department utilization, dietary habits, physical activity, and medication adherence, and had 2.9 times greater odds of decreasing body mass index.

Randomized controlled trial of the effects of nurse case manager and community health worker interventions on risk factors for diabetes-related complications in urban African Americans.

The effects of a nurse case manager and a community health worker team on diabetic control, emergency department visits, and hospitalizations among urban African Americans with type 2 diabetes mellitus: a randomized controlled trial.

These data suggest that a culturally tailored intervention conducted by an NCM/CHW team reduced ER visits in urban African Americans with type 2 DM.

Promotora Diabetes Intervention for Mexican Americans

The intervention resulted in decreased A1C levels and increased diabetes knowledge, suggesting that using promotoras as part of an interdisciplinary team can result in positive outcomes for Mexican Americans who have type 2 diabetes.

Culturally competent diabetes self-management education for Mexican Americans: the Starr County border health initiative.

This study confirms the effectiveness of culturally competent diabetes self-management education on improving health outcomes of Mexican Americans, particularly for those individuals with HbA(1c) levels >10%.

Community-Based Peer-Led Diabetes Self-management

It is suggested that people with diabetes without elevated A1C can benefit from a community-based, peer-led diabetes program and the DSMP deserves consideration for implementation.

Research Paper: A Randomized Trial Comparing Telemedicine Case Management with Usual Care in Older, Ethnically Diverse, Medically Underserved Patients with Diabetes Mellitus: 5 Year Results of the IDEATel Study

Telemedicine case management resulted in net improvements in HgbA1c, LDL-cholesterol and blood pressure levels over 5 years in medically underserved Medicare beneficiaries, and mortality was not different between the groups, although power was limited.

Culturally appropriate health education for type 2 diabetes mellitus in ethnic minority groups.

Culturally appropriate diabetes health education appears to have short term effects on glycaemic control and knowledge of diabetes and healthy lifestyles, and there is a need for long-term, standardised multi-centre RCTs that compare different types and intensities of culturally appropriate health education within defined ethnic minority groups.

Barriers, Enablers, and Incentives for Research Participation: A Report from the Ambulatory Care Research Network (ACRN)

It is feasible to conduct clinical research studies in urban community medical practices if the topics are relevant to the community and appropriate enabling structures and processes are put into place.
...